Screening mammogram under Bronze plan (free) indicated a problem and MD ordered a 2nd diagnostic exam then an ultrasound. Insurance denied coverage and I need a 6 month f/u mammogram which I am told is not covered. I am still paying off thousands for 2nd mammogram and ultrasound. HELP
Preventive screening, including mammograms, is covered at not cost under ObamaCare but additional exams may have cost sharing or may not be covered. That being said anything that is essential should be covered in-network under your plans in-network cost sharing amount. If the insurer is flat out denying coverage than you need to coordinate with the doctor and the insurer and appeal the insurers decision if necessary. Every plan is different, but generally exams and diagnostics related to an initial screening should be covered in-network under ObamaCare's ten essential benefits.
Learn more about appealing.
Learn more about ten essential benefits.